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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: .� Building'Permit Applicatic n. MAY 12 2020 Planning and Development Services Building and Code Regulation Division ST. Lucie Count , ermitting 2300 Virginia Avenue,Fort Pierce FL,34982 Phone: (772)462-1553 'Fax: (772)462-1578 Commercial Residential PERMITTYPE: PROPOSED IMPR© EMENT LOCA ION: Address: Y0, /. � Property Tax ID#: 07" 05-601 •-OY7 9-000a Lot No� Site Plan Name: Block No. Project Name: coz* J- T ILED DESCftI TION.OF WORK: "'ice ) Icey owd e-AW �• I F CONSTR ORM ION INFORMATION: Additional work to-be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbinng _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 1 37;,, Sq. Ft. of First Floor: Cost of Construction:$ V5 ib 0 xz)-a Utilities: —Sewer —Septic Building Height: %WN�ERJLE--SSEE: CONTRACTOR: Name ✓ Name: Address: / Company: City: A� State:,L Address. Zip Code: Fax: City: State: Phone No. Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. �U ' • E NT CONSTRUC 10 I N W ! F ON: DESIGNER/ENGINEER: N.t Applicable MORTGAGE F1CMVM6Le_MPANY: _Not Applicable Name: AName: Address: Address: en4oiTa4c ' City: State: City: State: Zip: Phone -- 7 Zip: Phone: 11— 77'7p`�db1 FEE SIMPLE TITLEHOLDER: _Not Applicable BO DING COMPANY: Not Applicable Name: a Name: Address: CX0 z c^ ,-a G+: Address: city: ` am a City: Zip: Phone: Zip: Phone: . OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed fog any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby.agree that I will,in all respects, perform the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THIVIFIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTO11NEYPEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' Signature of Owner/L e/Contra as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA r STATE OF FLORIDA - COUNTY OF W-1 COUNTY OF The fo oing instrument was acknowledged efore me The forgoing instrument was acknowledged before me this day of 20by this day of 20_ by Name of person m ing statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Iden�iFi t'on �� � �CW� — Type of Identification' Produced Produced (Signature of Notary Pu ' i (Signature of Notary Public-State,of:Florida) HELEN R STEWART•DOUGLAS Commission No. 1`1044001c,State of Florida Commission No. (Seal) Comm cion#GG 939909 ?t91 my comm.ex iree Efib.25 2024 REVIEWS FRONT ZONING SUPERVISOR PLANS. VEGETATION- SEA,TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.